Organization
BEHAVIORAL HEALTH SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL E LEE PH.D. (DIRECTOR)
(713) 984-2121
Entity
Organization
Contact information
Practice address
952 ECHO LN STE 335, HOUSTON, TX 77024-2792
(713) 984-2121
Mailing address
PO BOX 55039, HOUSTON, TX 77255-5039
(713) 984-2121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13830
TX
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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